CMS released additional instructions to the Medicare Claims Processing Manual for the accurate interpretation of claim edits and...Read More »
Check your processes to implement E/M documentation changes, code updates, and expanded laboratory reporting requirements.Read More »
Understand how payment policy changes, C-APC changes, and more will impact your organization.Read More »
With healthcare costs on the rise, patients are experiencing greater out-of-pocket expenses and providers, in turn, are having difficulty collecting revenue from patients-- a process...
Q: The physician documented debridement (11043x1 & 11046x4) of a wound 85.25 sq. cm and documented 20 sq. cm of skin substitute application (...Read More »
Use this sample billing and charge audit procedure as a template for your organization.
Most inpatient rehabilitation facility stays might not meet Medicare coverage or documentation requirements and compliance could be improved...Read More »
In the 2019 OPPS final rule, released Friday, November 2, CMS implemented several site-neutral payment policies, though the agency did delay or...Read More »
Innovative solutions and a team approach transform recurrent problems into lasting success.Read More »
Q: How are you carving out other services from observation? Are you using a standard time or calculating based on the time off the nursing unit?...Read More »